title: Subperiosteal hematoma in multiple settings.
abstract: Most reports of orbital hemorrhage do not distinguish among intraconal, extraconal, and subperiosteal hemorrhages, although several reports describe isolated subperiosteal hematomas as a separate entity. We report 3 cases of subperiosteal hematoma with different etiologies but similar progression of signs and symptoms. Each patient presented with spontaneous proptosis, rarely caused by orbital subperiosteal hematoma, measuring approximately 5 mm. Over the course of 4-10 days their conditions worsened and warranted intervention. All 3 cases were treated with anterior orbitotomy, and visual acuity returned to baseline following surgery in all.
authors.affiliation: Ft. Campbell Army Ophthalmology, USA. courtneymcrawford@gmail.com
authors.forename: Courtney
authors.initials: C
authors.lastname: Crawford
authors.forename: Robert
authors.initials: R
authors.lastname: Mazzoli
mesh_terms: D000328:Adult; D018450:Disease Progression; D005094:Exophthalmos / Q000209:etiology; D005260:Female; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009916:Orbital Diseases / Q000209:etiology*; D010521:Periosteum; D014636:Valsalva Maneuver; D014839:Vomiting / Q000150:complications; D055815:Young Adult